NPIMap

Organization Active NPI

Summit Center for Behavioral Sciences, LLC

  • Psychiatry Physician
  • Fairlawn, OH
National Provider Identifier
1750434874
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35061917 Issued in OH
Legal business name
SUMMIT CENTER FOR BEHAVIORAL SCIENCES, LLC
Practice address
3200 W Market St
Suite 205
Fairlawn, OH 44333-3335
Phone
(330) 836-6825
Fax
(330) 836-6742
NPI assigned
Jan 19, 2007
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maher M Mansour, M.D.NPI 1386616134
Title
Owner
Phone
(330) 836-6825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35061917 OH Primary

Addresses

Primary practice location

3200 W Market St
Suite 205
Fairlawn, OH 44333-3335

Mailing address

3200 W Market St
Suite 205
Fairlawn, OH 44333-3335
Phone (330) 836-6825

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1750434874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W MARKET ST",
            "address_2": "SUITE 205",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333335",
            "telephone_number": "330-836-6825",
            "fax_number": "330-836-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W MARKET ST",
            "address_2": "SUITE 205",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333335",
            "telephone_number": "330-836-6825",
            "fax_number": "330-836-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CENTER FOR BEHAVIORAL SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-836-6825",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35061917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.